Seed Capital Investment Tax Credit Worksheet For Tax Year 2004 printable pdf download

SEED CAPITAL INVESTMENT TAX CREDIT

WORKSHEET For Tax Year 2004

36 M.R.S.A. § 5216-B

TAXPAYER NAME: _______________________________________ EIN/SSN: __________________

Note: Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.) making an eligible investment,

see the note in the specific line instructions. Also, please provide name and ID number of the pass-through entity on

the lines below.

EIN/SSN

NAME OF PASS-THROUGH ENTITY

_________________________________________________________

______________________

Investment Credit certificate amounts for investments made September 21, 2001 through

December 31, 2001. ________________ X .15 (Attach copy of certificates) ............ 1. ___________

Investment credit certificate amounts for investments made January 1, 2002 through

June 30, 2002. _________________ X .15 (Attach copy of certificates) .................. 2. ___________

Investment credit certificate amounts for investments made July 1, 2002 through

December 31, 2002. _________________ X .25 (Attach copy of certificates) ........ 3. ___________

Investment credit certificate amounts for investments made January 1, 2003 through

December 31, 2003. ________________ X .25 (Attach copy of certificates) .......... 4. ___________

Investment credit certificate amounts for investments made January 1, 2004 through

December 31, 2004. ________________ X .25 (Attach copy of certificates) .......... 5. ___________

Unused credit amounts carried to 2004 (See instructions) ............................................ 6. ___________

Total credit available this year (Add lines 1,2, 3, 4, 5 and 6). Corporations, enter here and

on Form 1120ME, Schedule C, line 29a, on the Credit Claimed line .......................... 7. ___________

Tax before credits (Form 1120ME, line 7a or Form 1040ME, line 23 less Schedule A,

line 3c) ________________ X .50 .......................................................................... 8. ___________

Current Year Credit amount: Enter the smaller of line 7 or line 8

(enter here and on Form 1120ME, Schedule C, line 29a or Form 1040ME, Schedule A, line 9) . 9. ___________

10.

Carryover: Line 7 minus line 9 plus any unused amount on Form 1120ME, Schedule C

or Form 1040ME, Schedule A. See instructions .......................................................... 10. __________

11.

Amount of credit available for future years relating to credit certificates issued for eligible investments made in 2004.

a. 2005 (line 5 gross certificate amount above x .25). Enter total here .................... 11a. _________

b. 2006 (line 5 gross certificate amount above x .25). Enter total here ......................... 11b _________

c. 2007 (line 5 gross certificate amount above x .25). Enter total here ......................... 11c _________

12.

Recapture

a. The amount of the original credit certificate revoked by FAME ................................. 12a _________

b. The amount of the original credit certificate not yet claimed as a credit ........................ 12b _________

c. Recapture amount. Subtract line 12b from line 12a. Enter amount here. If the amount is

positive, this is the recapture amount. Enter on Form 1120ME, line 7b or Form 1040ME,

Schedule A, line 3c. If the amount is negative, this is the amount of credit still available. 12c __________

Seed Capital Investment Tax Credit Worksheet For Tax Year 2004